| NPI | 1316037526 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAM NELSON UDOFIA Manager/Owner 202-723-8400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2016-10-05 |